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Reforms to close gaps in mental health care
March-9-2011

By the end of 2010, fewer than 10 percent of the patients with severe conditions were registered with health authorities to receive subsidized or free care.

Globally, the WHO has estimated that more than 75 percent of people with mental, neurological and substance-use disorders living in developing countries, including nearly 95 million people with depression, do not receive any treatment or care.

About one in four people around the world experience a mental health problem during their life, experts said.

Given that China is experiencing a great social and economic transformation, public demand for mental health services is sharply rising, said Chen Xiaohong, vice-minister of health.

"The resources available, however, are insufficient and inequitably distributed," said Zhang.

To date, China only has 116 hospitals specializing in mental health, and these are mainly in large cities, according to the Ministry of Health.

"There are very few mental health departments, let alone specialized hospitals, at the county level," Professor Tian Chenghua, of the Institute for Psychiatric Research at Peking University's No 6 Hospital, noted.

For every 100,000 Chinese, there are 1.26 qualified psychiatrists, far fewer than the world average of four, he said.

Huang Yueqin, director of the National Center for Mental Health, said factors such as poor access to care, economic stress and social stigma attached to mental illnesses drove patients away from professional care. Fewer than 50 percent of them aware of their own condition.

In response, since 2009 the Ministry of Health has trained thousands of medical workers, particularly at the grassroots level, with the aim of bringing the treatment of mental illnesses into the primary health care system.

Meanwhile, in the next two years, 550 psychiatric hospitals and departments across the country will be renovated and expanded, according to the Ministry of Health. A free psychological counseling helpline will also be set up in each province.

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